MedPath

Community interventions to increase child survival in Nepal

Not Applicable
Completed
Conditions
Pregnancy and Childbirth
eonatal mortality
neonatal sepsis
Bacterial sepsis of newborn
Registration Number
ISRCTN87820538
Lead Sponsor
niversity College London (UCL) Centre for International Health and Development (UK)
Brief Summary

2011 protocol in http://www.ncbi.nlm.nih.gov/pubmed/21635791 2014 results on prevalence of Caesarean section in https://pubmed.ncbi.nlm.nih.gov/25550293/ (added 30/12/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
12000
Inclusion Criteria

Main target population:
1. Women of reproductive age, of whom there are 140,000
2. Infants under a year of age, of whom there are 19,000
3. 26,000 pregnancies expected annually in the district

Key participants:
Women who either join community groups or have a pregnancy. The women's group intervention involves social mobilisation and group membership and activities will not be restricted to women of reproductive age. Since the aim is to improve the situation of pregnant women and their newborn infants, any participant who may affect this situation may be involved. Particular stakeholders may be older women, male community members, health workers and local opinion formers. All women and their newborn infants will be eligible to participate in the data collection exercise, for which enrolment will occur either during pregnancy or in the post-natal period.

Exclusion Criteria

Does not meet the inclusion criteria

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
eonatal mortality rates. Outcome measures are collected prospectively on an ongoing basis, so no specific timepoints for measurement. However, for the purposes of analysis of the trial, we will look at both primary and secondary outcome measures annually for 3 years.
Secondary Outcome Measures
NameTimeMethod
<br> 1. Community groups:<br> 1.1. Care practices and health care seeking behaviour<br> 2. Stillbirth rates<br> 3. Maternal mortality ratios<br> 2. Sepsis management:<br> 2.1. Identification and treatment of neonatal sepsis by community health volunteers<br> 2.2. Causes of death assessed by community verbal autopsy<br><br> Outcome measures are collected prospectively on an ongoing basis, so no specific timepoints for measurement. However, for the purposes of analysis of the trial, we will look at both primary and secondary outcome measures annually for 3 years.<br>
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